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尼日利亚某大城市慢性伤口患者的伤口相关疼痛与生活质量:一项分析性横断面研究

Wound-related Pain and Quality of Life in Patients with Chronic Wounds in a Metropolitan City in Nigeria: An Analytic Cross-sectional Study.

作者信息

Olawoye Olayinka Adebanji, Isamah Chinsunum Peace, Ademola Samuel Adesina, Iyun Ayodele Olukayode, Michael Afieharo Igbibia, Aderibigbe Rotimi Opeyemi, Oluwatosin Odunayo Moronfoluwa

机构信息

Department of Plastic, Reconstructive and Aesthetic Surgery, University College Hospital, Ibadan, Nigeria.

Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria.

出版信息

J West Afr Coll Surg. 2025 Jan-Mar;15(1):68-74. doi: 10.4103/jwas.jwas_187_23. Epub 2024 Jul 18.

Abstract

BACKGROUND

The prevalence of chronic wounds is expected to rise with the increasing elderly population in the society. This rise in prevalence of chronic wounds comes with its consequences such as wound pain and interference with activities of daily living. There's a paucity of data on the impact of chronic wounds in our clime.

OBJECTIVE

This study was carried out to assess the prevalence of wound-related pain and the impact of wound-related pain on the quality of life of patients with chronic wounds.

MATERIALS AND METHODS

This was an analytic cross-sectional study of consecutive patients presenting with chronic wounds in plastic surgery clinic in a metropolitan city in Nigeria using the brief pain inventory-short form.

RESULT

About 371 patients were seen, with a male-to-female ratio of 1.7:1. The mean age was 37.1 ± 15.5 years. Most chronic wounds (72.2%) occurred in the lower limbs. Nearly all patients (92.9%) experienced wound pain, with a correlation between wound location and pain severity, = 0.000. Over 50% of the patients had low wound-related quality of life. Enjoyment of life, general activity, and walking were the domains with high interference. Wound pain ( = 0.000) and wound location ( = 0.001) are significant determinants of poor wound-related quality of life.

CONCLUSION

Patients with chronic wounds have a high prevalence of wound-related pain and low wound-related quality of life.

摘要

背景

随着社会老年人口的增加,慢性伤口的患病率预计会上升。慢性伤口患病率的上升伴随着诸如伤口疼痛和对日常生活活动的干扰等后果。在我们这个地区,关于慢性伤口影响的数据很少。

目的

本研究旨在评估伤口相关疼痛的患病率以及伤口相关疼痛对慢性伤口患者生活质量的影响。

材料与方法

这是一项采用简短疼痛量表简表对尼日利亚一个大城市整形外科诊所连续就诊的慢性伤口患者进行的分析性横断面研究。

结果

共观察了约371例患者,男女比例为1.7:1。平均年龄为37.1±15.5岁。大多数慢性伤口(72.2%)发生在下肢。几乎所有患者(92.9%)都经历过伤口疼痛,伤口部位与疼痛严重程度之间存在相关性,P = 0.000。超过50%的患者伤口相关生活质量较低。生活乐趣、一般活动和行走是受影响较大的方面。伤口疼痛(P = 0.000)和伤口部位(P = 0.001)是伤口相关生活质量差的重要决定因素。

结论

慢性伤口患者伤口相关疼痛的患病率较高,伤口相关生活质量较低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9d5/11676009/7eaf811135bd/JWACS-15-68-g001.jpg

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